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Language disparity is not a significant barrier for time-sensitive care of acute ischemic stroke
BACKGROUND: Language barriers were reported to affect timely access to health care and outcome. The aim of this study was to investigate the effect of language disparity on quality benchmarks of acute ischemic stroke therapy. METHODS: Consecutive patients with acute ischemic stroke at the University...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7532579/ https://www.ncbi.nlm.nih.gov/pubmed/33008325 http://dx.doi.org/10.1186/s12883-020-01940-9 |
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author | Anderson, Noriko Janarious, Afra Liu, Shimeng Flanagan, Lisa A. Stradling, Dana Yu, Wengui |
author_facet | Anderson, Noriko Janarious, Afra Liu, Shimeng Flanagan, Lisa A. Stradling, Dana Yu, Wengui |
author_sort | Anderson, Noriko |
collection | PubMed |
description | BACKGROUND: Language barriers were reported to affect timely access to health care and outcome. The aim of this study was to investigate the effect of language disparity on quality benchmarks of acute ischemic stroke therapy. METHODS: Consecutive patients with acute ischemic stroke at the University of California Irvine Medical Center from 2013 to 2016 were studied. Patients were categorized into 3 groups according to their preferred language: English, Spanish, and other languages. Quality benchmarks and outcomes of the 3 language groups were analyzed. RESULTS: Of the 928 admissions, 69.7% patients recorded English as preferred language, as compared to 17.3% Spanish and 13.0% other languages. There was no significant difference in the rate of receiving intravenous thrombolysis (24.3, 22.1 and 21.0%), last-known-well to door time, door-to-imaging time, door-to-needle time, and hospital length of stay among the 3 language groups. In univariate analysis, the other languages group had lower chance of favorable outcomes than the English-speaking group (26.3% vs 40.4, p < 0.05) while the Spanish-speaking group had lower mortality rate than English-speaking group (3.1% vs 7.7%, p = 0.05). After adjusting for age and initial NIHSS scores, multivariate regression models showed no significant difference in favorable outcomes and mortality between different language groups. CONCLUSION: We demonstrate no significant difference in quality benchmarks and outcome of acute ischemic stroke among 3 different language groups. Our results suggest that limited English proficiency is not a significant barrier for time-sensitive stroke care at Comprehensive Stroke Center. |
format | Online Article Text |
id | pubmed-7532579 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-75325792020-10-05 Language disparity is not a significant barrier for time-sensitive care of acute ischemic stroke Anderson, Noriko Janarious, Afra Liu, Shimeng Flanagan, Lisa A. Stradling, Dana Yu, Wengui BMC Neurol Research Article BACKGROUND: Language barriers were reported to affect timely access to health care and outcome. The aim of this study was to investigate the effect of language disparity on quality benchmarks of acute ischemic stroke therapy. METHODS: Consecutive patients with acute ischemic stroke at the University of California Irvine Medical Center from 2013 to 2016 were studied. Patients were categorized into 3 groups according to their preferred language: English, Spanish, and other languages. Quality benchmarks and outcomes of the 3 language groups were analyzed. RESULTS: Of the 928 admissions, 69.7% patients recorded English as preferred language, as compared to 17.3% Spanish and 13.0% other languages. There was no significant difference in the rate of receiving intravenous thrombolysis (24.3, 22.1 and 21.0%), last-known-well to door time, door-to-imaging time, door-to-needle time, and hospital length of stay among the 3 language groups. In univariate analysis, the other languages group had lower chance of favorable outcomes than the English-speaking group (26.3% vs 40.4, p < 0.05) while the Spanish-speaking group had lower mortality rate than English-speaking group (3.1% vs 7.7%, p = 0.05). After adjusting for age and initial NIHSS scores, multivariate regression models showed no significant difference in favorable outcomes and mortality between different language groups. CONCLUSION: We demonstrate no significant difference in quality benchmarks and outcome of acute ischemic stroke among 3 different language groups. Our results suggest that limited English proficiency is not a significant barrier for time-sensitive stroke care at Comprehensive Stroke Center. BioMed Central 2020-10-02 /pmc/articles/PMC7532579/ /pubmed/33008325 http://dx.doi.org/10.1186/s12883-020-01940-9 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Anderson, Noriko Janarious, Afra Liu, Shimeng Flanagan, Lisa A. Stradling, Dana Yu, Wengui Language disparity is not a significant barrier for time-sensitive care of acute ischemic stroke |
title | Language disparity is not a significant barrier for time-sensitive care of acute ischemic stroke |
title_full | Language disparity is not a significant barrier for time-sensitive care of acute ischemic stroke |
title_fullStr | Language disparity is not a significant barrier for time-sensitive care of acute ischemic stroke |
title_full_unstemmed | Language disparity is not a significant barrier for time-sensitive care of acute ischemic stroke |
title_short | Language disparity is not a significant barrier for time-sensitive care of acute ischemic stroke |
title_sort | language disparity is not a significant barrier for time-sensitive care of acute ischemic stroke |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7532579/ https://www.ncbi.nlm.nih.gov/pubmed/33008325 http://dx.doi.org/10.1186/s12883-020-01940-9 |
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